| Intraoperative Neurology Services Pc | |
|
5 Francis Pl Latham NY 12110-1613 | |
| (518) 727-2238 | |
| Not Available |
| Full Name | Intraoperative Neurology Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5 Francis Pl, Latham, New York |
| Authorized Official Name and Position | Michael Riley (ADMINISTRATOR) |
| Authorized Official Contact | 5187272238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intraoperative Neurology Services Pc 5 Francis Pl Latham NY 12110-1613 Ph: (518) 727-2238 | Intraoperative Neurology Services Pc 5 Francis Pl Latham NY 12110-1613 Ph: (518) 727-2238 |
| NPI Number | 1548739006 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 1850638768 |
|---|---|
| Medicare Enrollment ID | O20190131001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548739006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
| Provider Name | Lev Grinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457511743 PECOS PAC ID: 7810011723 Enrollment ID: I20100830000714 |
| Provider Name | Eli Samuel Neiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437363538 PECOS PAC ID: 3971662735 Enrollment ID: I20150116000924 |
| Provider Name | Francisco Vega-bermudez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528005485 PECOS PAC ID: 8123923877 Enrollment ID: I20170110000892 |
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